Services

ICD-10 Planning & Implementation Services

If you are behind the curve on ICD-10, we can provide the dependable, responsive and affordable assistance you need – today.

It now appears likely that October 1, 2014 will be the date on which ICD-10 becomes mandatory for all HIPAA-protected transactions. Whatever the final date, we can be sure that ICD-10 implementation will happen – and it will change everything – not only for coders, but for every part of your organization that creates, analyzes or uses protected health information (and that's everybody!). We also know that according to a survey conducted recently, only 12% of acute care hospitals had completed their impact analysis of the effects of ICD-10 implementation at the time of the survey, and only 3% of hospitals had actually begun to change things. An even more recent report found that only 9% of providers studied were at the halfway point in their ICD-10 preparations. Our comprehensive ICD-10 assessment, planning, implementation and monitoring services take you from where you are today to "up and running" by the mandatory due date. Now's the time to get started -- with a readiness assessment. Contact us today!

OUR PLANNING AND IMPLEMENTATION PROCESS is unlike those of organizations that offer only health information management assistance. We provide both ICD-10 technical and organizational change management expertise. Each engagement is co-led by an ICD-10 certified coder trainer and a management consultant with years of helping hospitals, payers, and support services providers to implement organization-wide change.

The process consists of four free-standing modules:

ICD-10 Organizational Readiness Summary
  1. Readiness assessment: We do a multiphasic evaluation of your strengths and weaknesses – not just in your coding operation but throughout the organization. A few examples:
    • People: Are the staff on board? Are the right people in the right jobs?
    • Infrastructure: Are the processes, policies and procedures impacted by ICD-10 robust and efficient? Are you ready for a 30% to 50% drop in productivity for at least six months after ICD-10 is implanted?
    • Culture: Is the organizational culture entrepreneurial and change-embracing? If not, what "carrots and sticks" can be put in place for ICD-10 adoption?
    • Finance: Is there a sequestered ICD=10 implementation budget? Is it adequate?
    • Partners: Are the physicians bought in? Does their relationship with you include incentives for ICDE-10 adoption? Are there ways to strengthen the partnership? What about your IT partners? Have you dovetailed your plans with them?
  2. Plan development. Our collaborative planning process involves you at every step and ensures that the plan is practical given your culture and environment. It custom fits the industry-standard American Healthcare Information Management (AHIMA) implementation checklist to your organization’s state of readiness based on our assessment.
  3. Implementation. We provide
    • ICD-10 Project Management Support
    • Committee meeting facilitation
    • Progress Tracking
    • Change management
    • Training (AHIMA-certified trainers)
    • Awareness
    • Documentation
    • Coding

    Training is key. Everyone involved in chart preparation, coding and billing needs to be aware of the differences between ICD-10 and ICD-9 and how much knowledge of anatomy and physiology is needed to code accurately for ICD-10. Here's a simple example in ICD-10-CM:

    Note that the ICD-9-CM code is able to report only that there was a closed fracture at the end of the radius. ICD-10 can report which radius, where on the radius, and that this was an initial visit.

    Sample Dashboard

  4. Monitor. We follow up with:
    • Dashboard creation and maintenance, capturing your strategic and operational key performance indicators.
    • Performance data analysis to pinpoint problems and suggest solutions
    • Recommendations for operational improvement, based on periodic on-site visits as necessary
    • QI team facilitation if an organized, team-driven approach is required for a particular problem